Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kyle William Lacy, MD

Individual provider Orthopaedic Surgery Physician · NPI 1568779338

Dr. Kyle William Lacy, MD is an Orthopedic Surgery in Detroit, Michigan. Graduated from University of Kentucky College of Medicine in 2010, 16 years ago. Practices with Sports Medicine North Orthopaedic Surgery, Inc, a 86-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
16
Trained at
University of Kentucky College of Medicine
Licensed in
MI
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4201 St Antoine Uhc 6D5.5
Detroit, MI 48201
Phone: (313) 966-8013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 4301097292 (MI)

Record details

NPI number1568779338
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 1, 2010
Last updated in NPPESSeptember 1, 2010
Mailing address724 York St, Plymouth, MI 48170-1483

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Sports Medicine North Orthopaedic Surgery, Inc. — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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